| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,555.30 | $1,555.30 | $1,555.30 |
Iodine i-131 iobenguane, dx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,555.30 | $1,555.30 | $1,555.30 |